JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Saint Alphonsus Medical Center Ontario

2 / 5

At a glance

Saint Alphonsus Medical Center Ontario carries a 2-star CMS overall rating — below the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days279Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.183Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days995Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.530Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.148Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days5095Not available
MRSA Bacteremia: Predicted Cases0.125Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.024Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.365Same as national
Clostridium Difficile (C.Diff): Patient Days4530Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.085Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.480Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national146
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national34
Death rate for heart failure patients12.7Same as national57
Death rate for pneumonia patients13.4Same as national57
Death rate for stroke patientsNot available
Pressure ulcer rate0.52Same as national470
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national632
In-hospital fall-associated fracture rate0.27Same as national589
Postoperative hemorrhage or hematoma rate2.33Same as national68
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.37Same as national73
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.05Same as national28
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients25.2Not available57
Hospital return days for pneumonia patients4.5Not available57
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national219
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national458
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national25
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.4Same as national25
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national58
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national34
Heart failure (HF) 30-Day Readmission Rate19.9Same as national57
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national57

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4227
Doctor communication - star rating3227
Communication about medicines - star rating3227
Discharge information - star rating3227
Cleanliness - star rating5227
Quietness - star rating3227
Overall hospital rating - star rating4227
Recommend hospital - star rating4227
Summary star rating4227

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumelow
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia111089
Hospital Harm - Severe Hypoglycemia0312
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination68510
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better123406
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better120371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16116
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27119
Left before being seen113809
Head CT results6913
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9683
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing7424
Appropriate care for severe sepsis and septic shock68101
Septic Shock 3-Hour Bundle7832
Septic Shock 6-Hour Bundle7621
Severe Sepsis 3-Hour Bundle87101
Severe Sepsis 6-Hour Bundle8753
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis93456
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Saint Alphonsus Medical Center Ontario rated?
Saint Alphonsus Medical Center Ontario has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Alphonsus Medical Center Ontario have emergency services?
Yes. Saint Alphonsus Medical Center Ontario operates a 24/7 emergency department.
Where is Saint Alphonsus Medical Center Ontario located?
Saint Alphonsus Medical Center Ontario is located at 351 Sw 9th Street, Ontario, OR 97914.
What type of hospital is Saint Alphonsus Medical Center Ontario?
Saint Alphonsus Medical Center Ontario is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

Report an issue with this page